Individual
KATHLEEN L TREADUP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
480 HAWTHORN ST, NORTH DARTMOUTH, MA 02747-3713
(508) 996-3991
Mailing address
480 HAWTHORN ST, NORTH DARTMOUTH, MA 02747-3713
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
131703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0339857
—
MA
Enumeration date
03/07/2006
Last updated
07/08/2007
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